Templates Family Law Child Support Calculation Worksheet

Child Support Calculation Worksheet

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IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT WORKSHEET

Kentucky requires the use of official form CS-71 (Worksheet for Monthly Child Support Obligation) for child support calculations.
This template provides the substantive content and calculation methodology to help you
prepare — but you must transfer your figures to the official worksheet before filing.
The official form is available at https://www.chfs.ky.gov/agencies/dis/Pages/cse.aspx.
Do not file this document directly with the court.

CHILD SUPPORT CALCULATION WORKSHEET

State of Kentucky — Income Shares Model (KRS § 403.212)


Table of Contents

  1. Case Information
  2. Children Subject to This Order
  3. Gross Income Determination
  4. Combined Monthly Gross Income
  5. Basic Child Support Obligation
  6. Additional Expenses
  7. Parenting Time Credit
  8. Total Child Support Obligation
  9. Deviation Factors
  10. Duration and Modification
  11. State-Specific Notes
  12. Sources and References

1. Case Information

Field Details
Court [________________________________] Circuit/Family Court
Case Number [________________________________]
Parent A (Custodial) [________________________________]
Parent B (Non-Custodial) [________________________________]
Date of Worksheet [__/__/____]
Type of Action ☐ Initial Determination ☐ Modification ☐ Review

2. Children Subject to This Order

# Child's Full Name Date of Birth Age
1 [________________________________] [__/__/____] [____]
2 [________________________________] [__/__/____] [____]
3 [________________________________] [__/__/____] [____]
4 [________________________________] [__/__/____] [____]
5 [________________________________] [__/__/____] [____]

Total Number of Children: [____]

Custody Arrangement:
☐ Sole Physical Custody — Parent A
☐ Sole Physical Custody — Parent B
☐ Joint Physical Custody / Shared Parenting
☐ Split Custody

Overnights Per Year:

  • Parent A: [____] overnights
  • Parent B: [____] overnights

3. Gross Income Determination

Parent A — Monthly Gross Income

Source Amount
Salary / Wages $ [________________________________]
Commissions / Bonuses $ [________________________________]
Self-Employment Income $ [________________________________]
Overtime $ [________________________________]
Dividends / Interest $ [________________________________]
Rental Income $ [________________________________]
Pension / Retirement $ [________________________________]
Social Security Benefits $ [________________________________]
Workers' Compensation $ [________________________________]
Unemployment Benefits $ [________________________________]
Disability Benefits $ [________________________________]
Trust Income $ [________________________________]
Capital Gains $ [________________________________]
Spousal Maintenance Received $ [________________________________]
Other Income $ [________________________________]
Total Monthly Gross Income — Parent A $ [________________________________]

Parent B — Monthly Gross Income

Source Amount
Salary / Wages $ [________________________________]
Commissions / Bonuses $ [________________________________]
Self-Employment Income $ [________________________________]
Overtime $ [________________________________]
Dividends / Interest $ [________________________________]
Rental Income $ [________________________________]
Pension / Retirement $ [________________________________]
Social Security Benefits $ [________________________________]
Workers' Compensation $ [________________________________]
Unemployment Benefits $ [________________________________]
Disability Benefits $ [________________________________]
Trust Income $ [________________________________]
Capital Gains $ [________________________________]
Spousal Maintenance Received $ [________________________________]
Other Income $ [________________________________]
Total Monthly Gross Income — Parent B $ [________________________________]

4. Combined Monthly Gross Income

Deduction Parent A Parent B
Pre-existing child support orders $ [____________] $ [____________]
Pre-existing maintenance/alimony paid $ [____________] $ [____________]
Total Deductions $ [____________] $ [____________]
Adjusted Gross Income $ [____________] $ [____________]

Combined Monthly Adjusted Gross Income: $ [________________________________]

Percentage of Combined Income:

  • Parent A: [____] %
  • Parent B: [____] %

5. Basic Child Support Obligation

Item Amount
Combined Monthly Adjusted Gross Income $ [________________________________]
Number of Children [____]
Basic Child Support Obligation (from KRS Table) $ [________________________________]
Parent A's Proportionate Share ([____]%) $ [________________________________]
Parent B's Proportionate Share ([____]%) $ [________________________________]

☐ Calculated amount is below minimum ($60/month) — minimum applies


6. Additional Expenses

Health Insurance

Item Parent A Parent B
Children's health insurance premium $ [____________] $ [____________]
Children's dental/vision insurance $ [____________] $ [____________]
Total Insurance Costs $ [____________] $ [____________]

Childcare Costs

Item Amount
Monthly work/education-related childcare costs $ [________________________________]
Parent A's proportionate share ([____]%) $ [________________________________]
Parent B's proportionate share ([____]%) $ [________________________________]

Extraordinary Medical Expenses

Item Amount
Uninsured medical/dental expenses (monthly avg.) $ [________________________________]
Parent A's proportionate share $ [________________________________]
Parent B's proportionate share $ [________________________________]

7. Parenting Time Credit

Item Amount
Non-custodial parent's overnights per year [____]
☐ 73+ overnights — parenting time credit applies
Parenting time credit percentage [____]%
Parenting time credit amount $ [________________________________]

☐ Parenting time credit applied
☐ Parenting time credit not applicable (fewer than 73 overnights)


8. Total Child Support Obligation

Component Parent A Parent B
Share of Basic Obligation $ [____________] $ [____________]
Health Insurance Adjustment $ [____________] $ [____________]
Childcare Share $ [____________] $ [____________]
Extraordinary Medical Share $ [____________] $ [____________]
Parenting Time Credit ($ [____________])
Total Obligation $ [____________] $ [____________]
Less: Custodial Parent Direct Expenditures ($ [____________])
Net Monthly Child Support Payment $ [____________]

Monthly Child Support Payment: $ [________________________________]


9. Deviation Factors

☐ No deviation requested

☐ Deviation requested based on extraordinary circumstances:

☐ Extraordinary medical expenses of the child
☐ Extraordinary educational expenses
☐ Child's independent financial resources
☐ Combined income exceeds the guidelines table maximum
☐ Shared parenting arrangement not captured by parenting time credit
☐ A parent's extraordinary travel expenses for visitation
☐ Other extraordinary circumstance: [________________________________]

Proposed deviation amount: $ [________________________________]

Justification (extraordinary circumstances required):
[________________________________]
[________________________________]


10. Duration and Modification

Duration of Support:

  • Support continues until the child reaches age 18, or
  • Through high school graduation if the child turns 18 during the senior year (but not beyond age 19)
  • ☐ Child is emancipated
  • ☐ Child marries
  • ☐ Child enters active military duty
  • ☐ Other terminating event: [________________________________]

Modification:

☐ This is a modification of a prior order dated [__/__/____]
☐ Existing order amount: $ [____________] per month
☐ Recalculated amount: $ [____________] per month
☐ Difference exceeds 15%: ☐ Yes ☐ No


11. State-Specific Notes

  1. Income Shares Model: Kentucky uses the Income Shares Model under KRS § 403.212, which combines both parents' gross monthly incomes and applies the statutory child support table.

  2. Minimum Obligation: Kentucky imposes a minimum child support obligation of $60 per month.

  3. Parenting Time Credit (KRS § 403.2121): A credit applies when the non-custodial parent exercises at least 73 overnights per year, recognizing direct expenditures during parenting time.

  4. Strict Deviation Standard: Deviation from the guidelines requires written findings of extraordinary circumstances, making Kentucky's deviation standard one of the stricter in the nation.

  5. Broad Gross Income Definition: KRS § 403.212(2)(b) includes virtually all sources of income, including capital gains, trust income, and Social Security benefits.

  6. Form CS-71: Kentucky courts require completion of the official Form CS-71 Child Support Worksheet in every child support proceeding.

  7. Imputation of Income: Courts may impute income based on a parent's employment potential when a parent is voluntarily unemployed or underemployed.


12. Sources and References


CERTIFICATION

I declare under penalty of perjury that the information provided in this worksheet is true and correct to the best of my knowledge.

Parent A Signature: [________________________________] Date: [__/__/____]

Parent B Signature: [________________________________] Date: [__/__/____]

Attorney for Parent A: [________________________________] Bar #: [____________]

Attorney for Parent B: [________________________________] Bar #: [____________]

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About This Template

Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.

Important Notice

This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Last updated: July 2026

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